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Individual

MARGARET M KOTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2400
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34-003710
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224461
UNISON
OH
01
000000532978
ANTHEM
OH
05
0570190
OH
01
363720
WELLCARE MEDICAID
OH
01
4213368
AETNA
OH
01
P00209403
RAILROAD MEDICARE
OH
01
P00729448
MEDICARE RAILROAD
OH
Enumeration date
07/20/2006
Last updated
07/14/2011
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